Joan M Wiss, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18560 Issued in SC

Practice address

506 2ND Ave N
Myrtle Beach, SC 29577-3922

Phone

(843) 796-7422

Fax

(877) 817-3832

NPI assigned

Jun 15, 2006

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Eastern Virginia Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medicos, P.a.Group PAC ID 1759723323, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medicos, P.a.

  • Internal Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1548024540

  Dermatology

  Medicare reassignment Care Compare group NPD
• Waccamaw Dermatology, LLC

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1962449181
  Medicare reassignment NPD
• Waccamaw Dermatology and Plastic Surgery

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1437308814
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1093759755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70157",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720021",
            "telephone_number": "843-504-2121",
            "fax_number": "843-487-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 2ND AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773922",
            "telephone_number": "843-796-7422",
            "fax_number": "877-817-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISS",
        "first_name": "JOAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "18560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185604",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Jacquelynn Wineinger, REGISTERED DIETITIAN
• Shaylen Lane Wingert, DO
• Corinne Marie Wisdo, DPM
• Isabella Bernadette Wise, RN
• Mackenzie Ann Wisniewski
• Selena Witherspoon
• Dacia Helen Woessner, ACNP
• Ashley Alley Wofford, APRN
• Howard Wong
• Lisa Anne Wood-Sanders, ATC

• Dermatology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.